PINNACLES PEDS CARE, PA
NPI: 1194033753
· PALM COAST, FL 32164
· Pediatrics Physician
· NPI assigned 09/16/2010
$1.25M
Total Medicaid Paid
Provider Details
| Authorized Official | VERDEFLOR, VINCENT (DIRECTOR) |
| NPI Enumeration Date | 09/16/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
6,740 |
$239K |
| 2020 |
5,826 |
$232K |
| 2021 |
5,776 |
$255K |
| 2022 |
4,839 |
$224K |
| 2023 |
3,973 |
$186K |
| 2024 |
2,831 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,695 |
7,827 |
$356K |
| 99393 |
|
2,424 |
2,364 |
$194K |
| 99392 |
|
1,873 |
1,851 |
$173K |
| 99394 |
|
2,025 |
1,989 |
$164K |
| 99214 |
|
2,226 |
2,078 |
$129K |
| 99391 |
|
1,369 |
1,342 |
$124K |
| 90460 |
|
4,484 |
4,346 |
$52K |
| 90461 |
|
575 |
509 |
$11K |
| 99215 |
Prolong outpt/office vis |
147 |
141 |
$10K |
| 99384 |
|
98 |
98 |
$9K |
| 87426 |
|
154 |
147 |
$7K |
| 99383 |
|
74 |
74 |
$7K |
| 90671 |
|
56 |
55 |
$5K |
| 99381 |
|
26 |
26 |
$2K |
| 90471 |
|
140 |
131 |
$2K |
| 81003 |
|
2,032 |
2,000 |
$2K |
| 99188 |
|
88 |
85 |
$1K |
| 99395 |
|
14 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$983.67 |
| 90697 |
|
69 |
68 |
$967.50 |
| 99211 |
|
51 |
51 |
$841.38 |
| 87880 |
|
153 |
145 |
$707.96 |
| 90670 |
|
403 |
396 |
$611.08 |
| 85018 |
|
395 |
385 |
$513.91 |
| 99212 |
|
13 |
12 |
$404.94 |
| 90734 |
|
257 |
249 |
$373.36 |
| 83655 |
|
159 |
157 |
$357.00 |
| 90698 |
|
206 |
204 |
$312.13 |
| 87804 |
|
113 |
63 |
$278.04 |
| 90710 |
|
78 |
77 |
$236.03 |
| 90744 |
|
24 |
24 |
$222.45 |
| 90715 |
|
54 |
54 |
$196.87 |
| 90686 |
|
158 |
157 |
$100.35 |
| 90651 |
|
291 |
288 |
$70.01 |
| 90633 |
|
189 |
186 |
$42.03 |
| 90680 |
|
121 |
119 |
$0.00 |
| 97802 |
|
345 |
334 |
$0.00 |
| 90620 |
|
93 |
90 |
$0.00 |
| 96127 |
|
35 |
33 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 92551 |
|
39 |
39 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$0.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
107 |
80 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
33 |
12 |
$0.00 |
| 99173 |
|
43 |
43 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |